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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. AUSTIN RAY MATTHIESSEN

Deactivated

MR. AUSTIN RAY MATTHIESSEN is a Counselor healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1689345316 is deactivated in the NPPES registry. Verify at CMS.

Counselor · OKLAHOMA CITY, OK

This NPI has been deactivated. The record was deactivated on September 23, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1689345316
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2021 (0.0027397260273973 yrs)
Last Updated
Mar 27, 2024
Deactivated
Sep 23, 2021
License
11897 (OK)

Practice Information

Address
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK, 731076437
Browse OK providers · Browse ZIP 73107
Phone
4058582957
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in OKLAHOMA CITY, OK

Name Credential NPI
DARLEENE A HARRIS LPC 1427027523
NICOLE M DAGEENAKIS LPC 1154390243
MR. W OTHEL RHODES LPC 1538101449
CAROL BAUSTERT M.S. , L.P.C. 1770526543
MR. KYLE D MCGRAW LPC 1366486318
MRS. LINDA S JOHNSON LPC, LBP 1316973290
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.